Active NPI
Joseph Edward Blatt
- Physical Therapist
- Blue Springs, MO
National Provider Identifier
1396765343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2001031537
- Practice address
- 801 NW St Mary's Drive
Ste. 102
Blue Springs, MO 64014 - Phone
- (816) 229-6622
- Fax
- (816) 229-6478
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2001031537 | MO | Primary |
Addresses
Primary practice location
801 NW St Mary's Drive
Ste. 102
Blue Springs, MO 64014
Mailing address
25612 E 31St Ter S
Blue Springs, MO 64015-1152
Phone (816) 224-6982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001031537 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Locations
200 NE 54th St
Ste 101
Kansas City, MO 64118
Phone (816) 455-0301
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Kansas City, MO
- NPI 1033179510
-
- Physical Therapy Clinic/Center
- Columbia, MO
- NPI 1144280603
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Cape Girardeau, MO
- NPI 1316907884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396765343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25612 E 31ST TER S",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640151152",
"telephone_number": "816-224-6982",
"fax_number": "816-229-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 NW ST MARY'S DRIVE",
"address_2": "STE. 102",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "64014",
"telephone_number": "816-229-6622",
"fax_number": "816-229-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLATT",
"first_name": "JOSEPH",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2001031537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.